Individual
ANNE KOZUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2061 CHEYENNE CT, GRAFTON, WI 53024-9368
(262) 376-1934
(262) 375-2047
Mailing address
4425 N PORT WASHINGTON RD, GLENDALE, WI 53212-1082
(414) 326-2218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6793
WI
Other
Enumeration date
02/01/2016
Last updated
07/02/2019
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